CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: CHI Health Plainview Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$104
about 3.0× the $35 Medicare rate · typically $61–$133
modeled estimate · not a bill or quote
What this hospital charges insurers
$70
Below the fair price — a good deal
about $34 under the fair price · 2.0× Medicare
Medicare pays $35 Fair price $104 This hospital $70 Cash price $79 Hospital's list price $94

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $33 Priciest $70

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $104 (about 3.0× the $35 Medicare rate). CHI Health Plainview Hospital charges insurers about $70, or about $79 in cash — below the fair price — a good deal. Located in Plainview, NE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $31 - $108 88%
Blue Cross Blue Shieldmajor $31 - $108 88%
Humanamajor $31 - $70 88%
Ambetter (Centene) $32 - $74 91%
Amerigroup $33 - $73 94%
Medica $31 - $109 88%
Molina $34 - $77 97%
+ 9 smaller / regional plans $31 - $154
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: P O Box 489, 704 North Third St, Plainview, NE 68769
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals